Division of Petroleum & Chemical Safety

Facility: 2021625 Tank: 7

Equipment Type	Equipment	Install Date	Last Passing Test Date	Test Expire Date
Corrosion Prot - Piping	Fiberglass Non-Corrosive		N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive		N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection		3/22/2024	3/22/2025
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	3/22/2024	3/22/2024	3/22/2025
Overfill Prev Device	Overfill Drop Tube Valve		3/27/2022	3/27/2025
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX		N/A	N/A
Piping	Single Wall STP/Tanktop Sump	10/25/2018	3/22/2024	3/22/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	10/25/2018	3/22/2024	3/22/2025
Spill Contain Device	Double Wall Spill Bucket		3/22/2024	3/22/2027
Tank	Fiberglass Brine Filled Double Wall Containment Solutions		N/A	N/A

File Name	Status	Status Date
CompatibilityFormSummary04012024-101238.pdf	Approved	4/1/2024

File Name	Description
5+Probe+Float.pdf	ATG Probe
5+Probe+Float.pdf	ATG Probe
8+Spill+Bucket+Franklin.pdf	Double Wall Spill Bucket
VR+PLLD+Fuel+Compatibility.pdf	Electronic Pressurized Line Leak Detection
2 +Tank+Sumps+CSI.pdf	Fiberglass Brine Filled Double Wall
2 +Tank+Sumps+CSI.pdf	Fiberglass Brine Filled Double Wall
3+Piping.pdf	Fiberglass Double Wall
3+Piping.pdf	Fiberglass Double Wall
6+Sensors+VR323+VR303.pdf	Hydrostatic Reservoir Interstitial Monitoring Sensors
6+Sensors+VR323+VR303.pdf	Hydrostatic Reservoir Interstitial Monitoring Sensors
6+Sensors+VR323+VR303.pdf	Non-Discriminating Sump Sensor with positive shutdown in Single Wall STP/Tanktop Sump
6+Sensors+VR323+VR303.pdf	Non-Discriminating Sump Sensor with positive shutdown in Single Wall STP/Tanktop Sump
9+Overfill+Prevention+Valve+OPW.pdf	Overfill Drop Tube Valve
9+Overfill+Prevention+Valve+OPW.pdf	Overfill Drop Tube Valve
10+Pump+Franklin.pdf	Pump
10+Pump+Franklin.pdf	Pump
4+UDC+Bravo.pdf	Single Wall Dispenser Sump
4+UDC+Bravo.pdf	Single Wall Dispenser Sump
2 +Tank+Sumps+CSI.pdf	Single Wall STP/Tanktop Sump
2 +Tank+Sumps+CSI.pdf	Single Wall STP/Tanktop Sump

Equipment Type	Equipment	Test Type	Test Result	Test Date	History
Tank	Fiberglass Brine Filled Double Wall Containment Solutions	Precision Test (Tank)	Pass	3/22/2024	Show History